Eye prosthesis adjustment

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Reduction of eye prosthesis

Payers reporting HCPCS V2626

Payer pricing summary

Low

$85

Average

$358

Median

$319

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$309	$291	$78	27%	—	$119 – $1.1k
2	Aetna fee schedule · outpatient · +11 other terms	322	$315	$352	$199	57%	—	$135 – $2.2k
3	Humana fee schedule · outpatient · +9 other terms	316	$306	$470	$522	111%	—	$183 – $2.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	204	$322	$409	$243	59%	—	$0 – $1.6k
5	WellCare fee schedule · outpatient · +4 other terms	202	$322	$328	$39	12%	—	$236 – $477
6	Devoted fee schedule · outpatient · +2 other terms	164	$306	$314	$27	9%	—	$235 – $345
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$326	$317	$25	8%	—	$244 – $335
8	Molina fee schedule · outpatient · +5 other terms	110	$356	$433	$174	40%	—	$204 – $853
9	Cigna fee schedule · outpatient · +8 other terms	95	$319	$327	$81	25%	—	$235 – $715
10	Anthem fee schedule · outpatient · +6 other terms	74	$244	$266	$51	19%	—	$235 – $530
11	Kaiser fee schedule · outpatient · +4 other terms	61	$249	$480	$405	84%	—	$235 – $2.4k
12	Superior Healthplan fee schedule · outpatient	40	$342	$342	$2	0%	—	$319 – $342
13	Clover fee schedule · outpatient · +2 other terms	37	$306	$288	$44	15%	—	$239 – $342
14	Ambetter facility · fee schedule · outpatient · +5 other terms	33	$462	$557	$148	26%	—	$239 – $766
15	Oscar fee schedule · outpatient · +5 other terms	33	$322	$368	$85	23%	—	$319 – $554
16	Optum fee schedule · outpatient · +4 other terms	26	$245	$326	$172	53%	—	$235 – $814
17	Caresource facility · case rate · outpatient · +4 other terms	20	$352	$395	$126	32%	—	$216 – $651
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$254	$267	$21	8%	—	$244 – $312
19	Bcbs Tx fee schedule · outpatient	18	$319	$319	—	—	—	$319 – $319
20	Medicare fee schedule · outpatient · +1 other terms	18	$235	$236	$2	1%	—	$235 – $239
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$368	$364	$7	2%	—	$349 – $368
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$244	$283	$70	25%	—	$133 – $386
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$264	$264	$70	26%	—	$140 – $338
24	Wellmark fee schedule · both · +2 other terms	13	$1.5k	$1.5k	$181	12%	—	$351 – $1.5k
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$200	$242	$50	21%	—	$200 – $300

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